| NPI | 1003347832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: WA MD61260450) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD61260450) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2022-06-09 |